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8Tj̆\hRjSD^ah\h58apJpD°WjIpWj\hˆeSjKƛ\WhȺl`^°DP½\h5Tj_pah\h58ajJpȐ[h^SWhȤkK^hS^hԌ]Wh7\^°_j‰Kƣ_hWh
7\^°_jShɀkDhWhS^DS`ha˴h\be°^Wh^‰KƨN^\h5Jp

This is to certify that the following information has been taken from the original record of birth which is in the register for Village/City
Taraktalav of Taluka Amreli of District Amreli of Gujarat State, India.

Wh\Name : WpƛdjZpWNENSIBEN ĤiSSex : Ḛṏ‫ڦ‬Female

Kƛ\Sh^ŽEDate of Birth : 23/03/2003 Kƛ\ƨT`Place of Birth :

Sunday, March 23, 2003 TARAKTALAV


\hShȵk5Wh\Name of Mother : iXShȵk5Wh\Name of Father :

/ NITABEN I5XD[h:CHAMPAKBHAI DEVANI

Zh`DWhKƛ\d\]p\hShiXShȵk5d^WhȺk5Address of parents \hShiXShȵk5Dh]\jd^WhȺk5Permanent Address of


at the time of Birth of child : Parents :
TARAKTALAV / TARAKTALAV ‫ڝڤڜڏڀښڏ‬

WҭVRj˲\h5DRegistration No. : 2 WҭVRjWjSh^ŽERegistration Date : 07/04/2017

^Ž\hD½d iabpcWҭV Remarks (if any) : ̆\hRX́W5Z^Certificate No. : B201720016076

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̆\hRX́DhQŽ8Ɯ]hWjSh^ŽEDate of issue : ̆\hRX́8XWh^dĂhiVDh^ŽWjdeŽSignature of Issuing
Authority :
19/03/2024 ..................................................................................

Registrar ( Birth & Death )


^‰Kƨ˼h^ Kƛ\\^R
Taraktalav , Amreli

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j0CZpRmyIWPMzPXbMYOsDadLOU7fIKRS5JD5enFHp5Q=

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